Fall Registration Current or Returning Swimmers Swimmer's Name * First Name Last Name Email * The same email address that you did let us know Phone * (###) ### #### Current or Previous Swim Level * Level 1 (Red) Level 2 (Orange) Level 3 (Yellow) Level 4 (Green) Level 5 (Blue) Level 6 (Black) I don't remeber Previous swim class info, or preferred date/time you would like to register * EX) Saturday 5:20pm, Sunday 3pm Pick Your day(s) to swim * After you apply, we will double check to make sure it's available and send you a confirmation system email (AcuityScheduling) Tuition Options: (A) $40 per class per week (up to 12 classes) (B) $35 per class (13 lasses or more) (C) Sibling discount is available from the 3rd child (They have to stay in a same household) Registration fee: $50 for a new student only (One time fee ) Swim Cap: NJSG swim cap is required to wear and need to be purchased ($10) when swimmers' level has changed or the cap is lost/damaged to replace. *Schedules are subject to change Monday 4:00pm [Lv 1,2,3,4 CLOSED] Monday 4:40pm [Lv 1,2 CLOSED] Monday 5:20pm [Lv 3,4,5,6 CLOSED] Monday 6:10pm [Lv 1,2,3,4 CLOSED] Monday 6:50pm [Lv 1,2 CLOSED] Monday 7:30pm Tuesday 4:00pm [Lv 1,2,3,4 CLOSED] Tuesday 4:40pm [CLOSED] Tuesday 5:20pm Tuesday 6:10pm Tuesday 6:50pm [Lv 6 CLOSED] Tuesday 7:30pm [Lv 5,6 CLOSED] Wednesday 4:00pm [Lv 3,4,5,6 CLOSED] Wednesday 4:40pm [Lv 5,6 CLOSED] Wednesday 5:20pm [Lv 1,2,3,4 CLOSED] Wednesday 6:10pm [Lv 5,6 CLOSED] Wednesday 6:50pm [CLOSED] Thursday 4:00pm [CLOSED] Thursday 4:40pm Thursday 5:20pm Thursday 6:10pm Thursday 6:50pm [Lv 1,2 CLOSED] Thursday 7:30pm Friday 4:00pm Friday 4:40pm Friday 5:20pm [Lv 5,6, CLOSED] Friday 6:10pm Friday 6:50pm [Lv 5,6 CLOSED] Saturday 9am [CLOSED] Saturday 9:40am [CLOSED] Saturday 10:30am [CLOSED] Saturday 11:10am [CLOSED] Saturday 12pm [CLOSED] Saturday 12:40m [Lv 5,6 CLOSED] Saturday 1:30pm [Lv 1,2,3,4 CLOSED] Saturday 2:10pm Saturday 3pm Saturday 3:40pm Saturday 4:30pm Saturday 5:10pm Saturday 6pm [Lv 1,2, CLOSED] Sunday 9am [CLOSED] Sunday 9:40am [CLOSED] Sunday 10:30am [CLOSED] Sunday 11:10am [CLOSED] Sunday 12pm Sunday 12:40pm [Lv 1,2, CLOSED] Sunday 1:30pm [Lv 3,4 CLOSED] Sunday 2:10pm [CLOSED] Sunday 3pm [Lv 1,2, CLOSED] Sunday 3:40pm [Lv 1,2, CLOSED] Sunday 4:30pm [CLOSED] Sunday 5:10pm [Lv 5,6, CLOSED] Memo Anything you would like to let us know or questions you may have? Waiver of Liability and Indemnification Agreement * We, the parent(s)/legal guardian(s), of the Registrants(s) named hereinafter give my/our approval to our/their participation in any and all activities. The undersigned attest to having personal knowledge and represent that the Registrant(s) is/are in good physical and emotional condition and health such that there are no restrictions on the Registrant(s) to participate in any of the activities of the New Jersey Swimming Group Inc. I/We hereby waive, release and discharge any and all claims and damages for personal injury, death, or property damage which We/Guest or my minor children may sustain or which may occur as a result of me/my/guest or my minor children’s participation in any activities. I understand and agree that This release is intended to discharge in advance New Jersey Swimming Group Inc., its officers, employees from and against any and all liability, except for their sole negligence or intentional acts, connected in any way with the participation of myself/guest or my minor child(ren) in activities. The described activity may be of a hazardous, strenuous, and/or physical nature. Participation in the described activity may occasionally result in injury, death or property damage; knowing the risk involved, nevertheless I voluntarily request permission for myself/guest or minor child (ren) to participate in the described activity. I herby assume any and all risks of injury, death or property damage and agree to release and hold harmless New Jersey Swimming Group Inc., its officers, employees, except for their sole negligence or intentional acts: This waiver, release and assumption of risk is binding on my heirs and assigns; I will indemnify and hold New Jersey Swimming Group Inc. harmless from any loss, liability, damage, cost or expense, including litigation, which it may incur as a result of any injury and/or property damage which I/We/guest or minor child(ren) may sustain while participating in said activities. I will make good any loss, damage, or cost New Jersey Swimming Group Inc., may have to pay if any litigations arises on account of any claim made by said minors/guest or by anyone on said minor’s behalf. In the event that said myself/guest or minor child (ren) requires medical or surgical treatment while under the supervision of NJSG Personnel in connection with the described activity, NJSG Personnel may authorize treatment. I/We will pay all medical, hospital, or other expenses which I/We/guest or minor child (ren) may incur as a result of such treatment. Activities are not child care as defined by the State of New Jersey. I agree and accepted Thank you. we have received your request. Once it's ready, usually within 3 days, a confirmation email will be sent.If you have any further questions please email us; NJSG@NewJerseySwimming.com한국어 이메일/카톡/문자 환영합니다. 카톡아이디: NJSwimGroup감사합니다. Level. 1Guide safety information & Pool RulesIntroduce in-water bubbling through noseDevelope a preliminary streamlined positionProper freestyle kicking Level. 2Introduce straight arm freestyle strokesFreestyle side breathing25 yards catch up freestyle25 yeards backstorke kick Level. 3Make freestyle & backstroke in a good rhythmPerfrom symchronized breathingComplete a freestyle & backstrokeAble to swim 50 yards freestyle and backstroke Level. 4Introduce breaststrokeCheck coordination and reinforce freestyle & backstrokeAble to swim 100 yards+ swim in breaststroke Level. 5Introduce butterflyDevelop proper arm pulls & body motionFully able to demonstrate 100 Indivisual Medley (IM)Introductory head first dive in streamlined position Level. 6Review and Reinforce all four strokesCompetitive head first dive practice & turnsGetting ready for swim teams (Minimum 300 yards non-stop swim & time standards apply to enter swim teams)